Jeanna M Ross in Peoria - Nurse Practitioner

Jeanna M Ross - NPI 1922061043

Jeanna M Ross is a Nurse Practitioner in Peoria, Illinois. Jeanna M Ross practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jeanna M Ross is 1922061043. The last update date is 2011-04-11.

Jeanna M Ross's current location address is 5401 N Knoxville Ave Ste 207, Peoria, Illinois. You can contact this provider via phone number 3096920400 and fax number 3096922804. The mailing address for Jeanna M Ross is 5401 N Knoxville Ave Ste 207, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanna M Ross
Address 5401 N Knoxville Ave Ste 207, Peoria, Illinois
Phone Number 3096920400
Fax Number 3096922804
Sole Proprietor N
Credentials APN

NPI Number Detail

NPI Number 1922061043
Provider Enumeration Date 2006-04-10
Last Updated Date 2011-04-11

Provider Mailing Address Detail

Address 5401 N Knoxville Ave Ste 207
City Peoria
State Illinois (IL)
Post Code 616145021
Phone Number 3096920400
Fax Number 3096922804

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 209005204
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Jeanna M Ross

What is the unique identifier code issued to Jeanna M Ross by the Centers for Medicare & Medicaid Services (CMS)?

The Jeanna M Ross has been assigned the NPI (National Provider Identifier) 1922061043. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jeanna M Ross is physically located?

The Jeanna M Ross is physically situated at the following address: 5401 N Knoxville Ave Ste 207, Peoria, IL, 616145021.

What is Jeanna M Ross's area of expertise and its corresponding taxonomy classification?

The Jeanna M Ross's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.

When was the Jeanna M Ross's 1922061043 issued?

The Jeanna M Ross's 1922061043 was issued on 2006-04-10.

When was the information related to Jeanna M Ross most recently updated or refreshed?

The details pertaining to the Jeanna M Ross, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-11.

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